摘要
目的探讨同伴教育的应用对丙肝合并糖尿病患者血糖指标、生活质量及依从性的影响。方法采用前后对照的研究方法，抽取慢性丙型肝炎合并糖尿病患者224例为研究对象，分为研究组和对照组各112例，研究组采取同伴教育干预模式，对照组采取常规护理。分别采用糖化血红蛋白、SF-36量表和治疗依从性问卷比较评价两组患者的血糖控制、生活质量改善情况以及治疗的依从性。结果干预后，研究组患者的HbAlc水平明显低于对照组，差异有统计学意义（P〈0．05）。干预后，研究组生理机能、生理职能、健康状况、活力、社会功能、精神健康、情感职能等指标评分均明显高于对照组，差异均有统计学意义（均P〈0．05）。干预后，研究组各治疗依从性指标评分显著高于对照组，差异有统计学意义（P〈0．01）。结论对于慢性丙型肝炎合并糖尿病患者采取同伴教育的护理干预模式能够明显控制血糖、提高患者的生活质量及治疗的依从性，对慢性丙肝的预后起到积极的作用。
Objective To explore the effects of peer education on blood glucose index, quality of life and compliance of patients with diabetes mellitus. Methods A total of 224 chronic hepatitis C patients with diabetes were enrolled in this study, 112 patients in the study group and 112 in the control group. The study group adopted a peer ed- ucation intervention model and the control group was given routine care. The glycemic hemoglobin, SF-36 scale and treatment compliance questionnaire were used to evaluate the blood glucose control, quality improvement of quality of life and the compliance of treatment. Results The level of HbA1 c in the study group was significantly lower than that in the control group, and the difference was statistically significant （P〈0. 05 ）. The physiological function, physiological function, health status, vigor, social function, mental health and emotional function were all significantly higher than the control group, and the differences were statistically significant （P〈0. 05）. After intervention, the scores of treat- ment compliance indexes in the study group were significantly higher than those in the control group, and the differences were statistically significant （ P〈0. 01 ）. Conclusions The model of peer education in chronic hepatitis C patients with diabetes can significantly control blood sugar, improve the quality of life of patients and improve the compliance of treat- ment, and play a positive role in the prognosis of chronic hepatitis C patients.
出处
《国际护理学杂志》
2018年第1期83-87,共5页
international journal of nursing
关键词
同伴教育
慢性丙型肝炎
糖尿病
生活质量
治疗依从性
Peer education
Chronic hepatitis C
Diabetes
Quality of life
Treatment compliance
